中华产科急救电子杂志
中華產科急救電子雜誌
중화산과급구전자잡지
Chinese Journal of Obstetric Emergency
2014年
1期
18-20
,共3页
胎盘,侵入性%栓塞,治疗性%妊娠,高危
胎盤,侵入性%栓塞,治療性%妊娠,高危
태반,침입성%전새,치료성%임신,고위
Placenta accreta%Embolization,therapeutic%Pregnancy,high-risk
胎盘植入是严重威胁母胎健康的疾病,其治疗手段尚未统一,目前血管栓塞治疗为治疗手段之一。胎盘植入患者预防与治疗产后出血的血管栓塞方法包括:术前预防性血管球囊闭塞术、术中及术后血管栓塞术。血管栓塞的优势为减少手术失血量与输血量,术后并发症及住院时间等。但同时也存在发生一定并发症的风险,包括盆腔内感染、器官缺血、发热、白细胞升高、组织神经疼痛、血管栓塞等。血管栓塞的应用还有待临床大样本的研究进一步评价。
胎盤植入是嚴重威脅母胎健康的疾病,其治療手段尚未統一,目前血管栓塞治療為治療手段之一。胎盤植入患者預防與治療產後齣血的血管栓塞方法包括:術前預防性血管毬囊閉塞術、術中及術後血管栓塞術。血管栓塞的優勢為減少手術失血量與輸血量,術後併髮癥及住院時間等。但同時也存在髮生一定併髮癥的風險,包括盆腔內感染、器官缺血、髮熱、白細胞升高、組織神經疼痛、血管栓塞等。血管栓塞的應用還有待臨床大樣本的研究進一步評價。
태반식입시엄중위협모태건강적질병,기치료수단상미통일,목전혈관전새치료위치료수단지일。태반식입환자예방여치료산후출혈적혈관전새방법포괄:술전예방성혈관구낭폐새술、술중급술후혈관전새술。혈관전새적우세위감소수술실혈량여수혈량,술후병발증급주원시간등。단동시야존재발생일정병발증적풍험,포괄분강내감염、기관결혈、발열、백세포승고、조직신경동통、혈관전새등。혈관전새적응용환유대림상대양본적연구진일보평개。
Placenta implantation is a serious disease threatened to mother and fetus healthy .While the present treatment has not been unified , vascular embolization is one of the treatments .The method of vascular embolization in prevention and treatment of postpartum haemorrhage in patients with placenta implantation include preoperative prophylactic vascular balloon occlusion , intraoperative and postoperative vascular embolization .The advantages of vascular embolization are minimizing surgical blood loss , blood transfusion, postoperative complications and the length of hospital stay , etc.But there is also a certain risk of complications, including pelvic cavity infection, organ ischemia, fever, elevated white blood cell, tissue nerve pain, vascular embolization, etc.The clinical application of vascular embolization need large sample research to be further evaluated .